“Therapist” and “psychiatrist” are often used interchangeably, but they're different roles. Knowing the difference helps you get to the right care faster.
What a therapist does
Therapists (LCSWs, LPCs, LMFTs, and psychologists) provide talk therapy — structured conversations and evidence-based techniques to help with anxiety, depression, trauma, relationships, and more. They do not prescribe medication.
What a psychiatrist does
Psychiatrists are medical doctors (MDs) who can diagnose mental health conditions and prescribe and manage medication. Some also provide therapy, but many focus on medication management.
Which do you need?
For most concerns, therapy is a strong first step. If your symptoms are severe, or therapy alone isn't enough, medication from a psychiatrist may help — often alongside therapy, which research shows can work better together than either alone.
Not sure? Starting with a therapist is reasonable; they can refer you to psychiatry if medication makes sense.
Frequently asked
Can a therapist prescribe medication?
No. Therapists provide talk therapy; only medical providers like psychiatrists can prescribe. Tend connects patients who need medication with Lyte Psychiatry.